TDAP Flap New Jersey

Thoracodorsal Artery Perforator flap

TDAP Flap Breast reconstruction can be an important aesthetic procedure that can help restore emotional and physical wellbeing for women who have received breast cancer treatment. While this surgery is not always necessary, it is important for women who are diagnosed with breast cancer to have a consultation with a plastic surgeon. Our team at New Jersey Breast Reconstruction Center specializes in a wide array of breast reconstruction techniques, including implant reconstruction and advanced autogenous techniques such as a TDAP flap. Highly trained and boasting years of experience in the field, our surgeons have helped countless women find new meaning and feel whole again after mastectomy surgery.

Autologous Breast Reconstruction Options


Autologous breast reconstruction – also referred to as autogenous breast reconstruction – is a type of breast reconstruction surgery that uses tissue (skin, fat, blood vessels, and sometimes muscle) to rebuild the new breast mound. Plastic surgeons have a number of autologous options that they can work with based on the needs of the patient and the goals of the surgery.

  • Perforator Flaps – this is a highly specialized type of autogenous reconstructive breast surgery that extracts a flap of tissue consisting of skin, fat, and the perforating blood vessels from the donor area. This approach is also referred to as a true muscle-sparing technique. A good example of a perforator flap is the DIEP flap surgery, which removes the donor tissue from the lower abdomen and uses it to reconstruct the breast(s). In this type of autogenous procedure, muscle tissue is not sacrificed. This helps protect the donor area from morbidity, a prolonged recovery duration, and increased risk of complications.
  • Myocutaneous Flaps – in this type of autologous reconstructive surgery, the flap of tissue used to rebuild the breast is made up of skin and muscle. Perhaps the most common embodiment of this technique is the TRAM flap procedure. TRAM uses the transverse rectus abdominis muscle (6 pack muscle) located between the pubic bone and waist in the lower abdomen to reconstruct the breast. Another example of a myocutaneous flap is the latissimus dorsi flap that uses the large muscle in the back and the TUG flap procedure that utilizes the upper thigh muscle.
  • Fat Grafting – this is a natural-tissue breast reconstruction where fat is harvested from other parts of the body then used to rebuild the breast(s). Breast reconstruction surgeons use the process of liposuction to remove excess fat from donor areas such as the abdomen, buttocks, thighs, love handles, and back. This fat is then processed and purified before it is strategically injected under the breast pocket to improve the shape or size. In some cases, surgeons may be able to perform the entire reconstruction using the patient’s own fat with this technique.
DIEP Flap New Jersey

Benefits of TDAP Free Flap Surgery

For eligible women, TDAP free flap plastic surgery offers excellent surgical outcomes and clear benefits:


  • Natural look and feel – like other autologous reconstructive procedures, this technique results in a natural breast look and feel. In many cases, the symmetrical aesthetic appearance that this technique achieves is superior to implant-based breast reconstruction. TDAP perforator flap breast reconstruction also results in a quicker recovery because muscle tissue is not touched. There is also the benefit of avoiding postoperative complications associated with implants such as capsular contracture, bottoming out, and leakages.
  • Reduction of back fat – another major advantage of the TDAP flap is that it leads to reduction of fat and contouring of the brassiere area. In addition to the reconstruction, this technique can help enhance your entire upper body profile.


Ideal Candidates for TDAP Flap Surgery

A TDAP flap is an advanced procedure that can help patients with breast cancer feel better and complete after mastectomy surgery. This technique uses fat, skin, and associated blood supply harvested from the upper back region to recontour the breast(s). You may be an ideal candidate for this procedure if:

  • You are in good enough shape to undergo reconstructive surgery.
  • You have enough tissue in the upper back area.
  • You already had reconstructive breast surgery but wish to optimize the volume and contour of your breasts.
  • You wish to reshape the breast following a lumpectomy.
  • You are looking to restore breast volume that may have been lost due to radiation damage.

Reconstructive breast surgeons understand that the needs and requirements of patients vary. During your initial consultation visit to New Jersey Breast Reconstruction Center, one of our expert surgeons will discuss suitability for this technique based on factors such as body types, aesthetic goals, and your unique preferences. Our skilled microsurgeons are committed to ensuring that they recommend and perform the best possible procedure based on your unique circumstances.

TDAP Operation

TDAP flap surgery is performed at an accredited medical facility. Once you get to the hospital for the procedure, you will be prepped in a pre-operative area to make sure you are ready for the surgery. Anesthesia will then be administered to ensure your comfort and safety throughout the procedure. A world-class microsurgeon will then extract fat, skin, and associated blood vessels from the back right below the underarm. The surgeon takes great care to ensure that these blood vessels are separated from the muscle, leaving muscle tissue intact. This flap of tissue will then be moved to the chest area where microsurgery will be used to reconnect the blood vessels to the chest wall blood supply. Incisions are then closed and bandaged appropriately. This surgery can take up to 8 hours to complete based on the specifics of the treatment. Once the procedure is done, you will be observed in the recovery room to monitor your vitals before you are taken to a hospital room.

Schedule Your TDAP Surgery Consultation in New Jersey

At the New Jersey Breast Reconstruction Center, we perform both flaps for breast reconstruction and traditional breast implant reconstruction to suit the needs of each patient. Our breast reconstructive surgeons are some of the best for the TDAP free flap technique. We understand the difficulty of a cancer diagnosis and treatment and handle each patient with the utmost compassion, respect, and an exceptional level of care. Our team will provide a pleasant breast reconstruction experience and make sure that your breast reconstruction journey results in an outcome that is totally worth it. Get in touch with our office to schedule an initial consultation and learn more about your suitability for a TDAP Flap reconstruction.

Recovery After TDAP Flap Surgery

Patients typically need to stay at the hospital for 3 – 4 days following TDAP free flap surgery. Most women experience swelling and bruising over the first few weeks. Soreness is also normal after microsurgical breast reconstruction. Your surgeon will have prescribed pain medication to improve your comfort, and antibiotics to prevent infection. You will also be provided with detailed aftercare instructions to ensure a smooth recovery process following reconstruction after mastectomy. Feelings of tightness and intermittent muscle spasms are a normal reaction to the surgery and tend to subside as the swelling resolves. The same goes for any itching, tingling, and mild electrical sensations that come and go. Scar lines start to improve in appearance after a few months and typically fade away within 18 months. You will need to take it easy over the first few weeks and avoid any form of strenuous activity. It is important to have someone who can help out with basic chores around the house. Most patients are able to resume light work within 8 weeks. It may take up to 3 months, however, before you are allowed to exercise and engage in other demanding physical activities.

Plan Your TDAP Flap Surgery in New Jersey

Our surgeons perform TDAP flap and other autologous techniques in medical centers that are approved for surgical procedures. During breast reconstruction in women, the surgeon works hand in hand with a certified anesthesiologist and other licensed support staff to ensure your safety. Your health insurance carrier is required by law (Women’s Health and Cancer Rights Act) to pay for reconstructive breast surgery. For this reason, you do not have to worry about financing this procedure from out of pocket.

Frequently Asked TDAP Questions


How do I prepare for TDAP Flap surgery?

Taking steps to make sure you are ready for a TDAP Flap is important not just for your peace of mind but also to reduce the risk of surgical complications. As a general rule of the thumb, make sure to focus on a healthy diet weeks before the surgery. Keep your body hydrated by drinking enough water or healthy beverages. During one of your visits to the New Jersey Breast Reconstruction Center, your attending plastic surgeon will request that you quit smoking at least four weeks before the surgery. You will also be told to stop taking certain medications and herbal supplements that may increase the risk of medical complications.

Immediate vs delayed breast reconstruction

Many women prefer to have reconstructive breast surgery done at the time of mastectomy because of the associated psychological benefit. This is referred to as immediate reconstruction. In some cases though, delayed (two-staged) reconstruction is a necessity. Plastic surgeons insert a temporary tissue expander at the time of the mastectomy then perform the second procedure months later to replace it with a permanent implant. Your plastic surgeon will discuss the possibilities and recommend an option that is best suited for your needs.

What can go wrong with TDAP breast reconstruction?

Like all other surgical procedures, breast reconstruction has its own risks. These include major complications such as bleeding, infection, anesthesia risks, and poor healing of incisions. Common side effects include swelling, bruising, discomfort, and scarring. Whether performing traditional breast implant reconstruction or an autogenous procedure, our surgeons take great care to ensure the safety of the patient.

Do I need to have breast reconstruction?

A breast cancer diagnosis can be a daunting experience. The prospect of undergoing a lumpectomy or mastectomy may affect you in ways you never anticipated. While reconstructive breast surgery is not a necessity, it can help make you feel whole again and cope better with the entire experience. Scheduling a consultation visit with a plastic surgeon early on after your breast cancer diagnosis can help you to understand your breast reconstruction options and make an informed decision regarding whether or not you need to undergo reconstruction surgery.